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Virtually all known deaths were verified by death certificate. If a participant was lost to follow-up, their case was censored at the last known contact. If a respondent was alive at the 1992 follow-up, their case was censored at the date of interview.

The study of ADL/IADL limitations was restricted to respondents interviewed (alive) in 1982 and 1992. The dependent variable is a summed scale of 23 Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) items taken from the Stanford Health Assessment Questionnaire. The items are scored from 0 (no difficulty with activity) to 3 (unable to do). The scale has excellent internal consistency at both time points.